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Individual

MIKALAH A BAREM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN

Contact information

Practice address
2020 E 29TH AVE STE 200, SPOKANE, WA 99203-3948
(888) 364-5977
(509) 252-1367
Mailing address
1295 BANDANA BLVD, W STE 210, ST. PAUL, MN 55108
(651) 645-5323
(844) 358-8786

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI61197617
WA
133V00000X
Registered Dietitian
LD-D-10257565
OR
390200000X
Student in an Organized Health Care Education/Training Program
DI61197617
WA

Other

Enumeration date
10/05/2021
Last updated
09/05/2025
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